National Provider Identifier Database

MALLETTS BAY CHIROPRACTIC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

MALLETTS BAY CHIROPRACTIC
500 HEINEBERG DR
COLCHESTER, VT05446-6772
Phone: 802-865-2255
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MALLETTS BAY CHIROPRACTIC

NPI Number 1184713737
Legal business name
LBN
MALLETTS BAY CHIROPRACTIC
Authorized official KENNETH LIEBMAN - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 808
  • VT Other: 4427 VT BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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